Organization
ULLMANN EYE CARE, LLC
Active
Other names
Ullmann Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT ULLMANN OD (MANAGER)
(847) 343-3678
Entity
Organization
Contact information
Practice address
3902 W RIVERSIDE BLVD, ROCKFORD, IL 61101-9507
(847) 343-3678
(815) 962-6027
Mailing address
3902 W RIVERSIDE BLVD, ROCKFORD, IL 61101-9507
(847) 343-3678
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010578
IL
Other
Enumeration date
07/18/2012
Last updated
12/07/2012
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